Individual
TARA DAWN HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-C,FNP-BC
Contact information
Practice address
1690 HOLDEN RD, LOGAN, WV 25601-7026
(304) 239-8070
Mailing address
1690 HOLDEN RD, LOGAN, WV 25601-7026
(304) 239-8070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112490
WV
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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